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Re: Reboxatine Help - Cam or anyone... PLEASE

Posted by JohnL on January 21, 2001, at 5:38:02

In reply to Reboxatine Help - Cam or anyone... PLEASE, posted by NikkiT2 on January 20, 2001, at 7:50:51

I agree with what others have already said, that there are probably Effexor withdrawals combined with new side effects from a new drug. Double whammy. Yikes.

The resting heart beat is way too high. That's not cool. Just based on your description, I would venture a guess that neither one of these meds is right for you. The correct meds usually end up being the ones that have mild side effects and seem to provide benefits fairly fast. That's characteristic of a superior match between a med and your chemistry. With that in mind, neither one of these drugs seems to fit the desired profile.

Different doctors have different views. My pdoc always gave me the option to stop a med immediately if I encountered really bad side effects early. Other doctors will say to stick with it and give it time. Easy for them to say. They aren't the ones suffering. And that view seems to miss the entire concept of superior matches versus inferior matches.

I've noticed a lot of people at this board have a hard time getting off Effexor. I think Effexor and Paxil in particular are especially difficult to get off of. The downfall with Effexor is that if it doesn't work out, it can delay the whole process considerably by requiring such a long time to get off it to switch to something else. To quit Effexor more comfortably you might have to pick up where you left off, at 150mg, and decrease the dose by 25mg per week. That'll take six weeks. And that is the drawback to Effexor when it doesn't work out. Other meds are like that too, but Effexor seems especially guilty.

In your shoes I would continue weening off Effexor, stop the Rebox, and spend the next couple weeks researching and thinking. Come up with some options, the pros and cons, reasons why they are good options, etc, and then make a priority list. Don't be afraid to dump one of your hopeful drugs if it turns out to be a nightmare right from the start. Those are usually the best ones to dump quickly, regardless that we had all our hopes in them.

Disclaimer....just my personal opinion. Other posters and other doctors may agree or disagree. There is no psychiatric bible. You ultimately have to do what you think is best.
John


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URL: http://www.dr-bob.org/babble/20010111/msgs/52135.html